BUL4602 Fall-2011 Lecture 5, Reading 3

BUL4602 Fall-2011 Lecture 5, Reading 3 - 411.352 42 CFR Ch....

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362 42 CFR Ch. IV (10–1–04 Edition) § 411.352 (4) For which any increase in the number of beds occurs only in the fa- cilities on the main campus of the hos- pital and does not exceed 50 percent of the number of beds in the hospital as of November 18, 2003, or 5 beds, whichever is greater; and (5) that meets such other require- ments as the Secretary may specify. Transaction means an instance or process of two or more persons or enti- ties doing business. An isolated trans- action means one involving a single payment between two or more persons or entities or a transaction that in- volves integrally related installment payments provided that— (1) The total aggregate payment is fixed before the first payment is made and does not take into account, di- rectly or indirectly, the volume or value of referrals or other business gen- erated by the referring physician; and (2) The payments are immediately negotiable or are guaranteed by a third party, secured by a negotiable promis- sory note, or subject to a similar mech- anism to assure payment even in the event of default by the purchaser or ob- ligated party. §411.352 Group practice. For purposes of this subpart, a group practice is a physician practice that meets the following conditions: (a) Single legal entity. The group prac- tice must consist of a single legal enti- ty operating primarily for the purpose of being a physician group practice in any organizational form recognized by the State in which the group practice achieves its legal status, including, but not limited to, a partnership, profes- sional corporation, limited liability company, foundation, not-for-profit corporation, faculty practice plan, or similar association. The single legal entity may be organized by any party or parties, including, but not limited to, physicians, health care facilities, or other persons or entities (including, but not limited to, physicians individ- ually incorporated as professional cor- porations). The single legal entity may be organized or owned (in whole or in part) by another medical practice, pro- vided that the other medical practice is not an operating physician practice (and regardless of whether the medical practice meets the conditions for a group practice under this section). For purposes of this subpart, a single legal entity does not include informal affili- ations of physicians formed substan- tially to share profits from referrals, or separate group practices under com- mon ownership or control through a physician practice management com- pany, hospital, health system, or other entity or organization. A group prac- tice that is otherwise a single legal en- tity may itself own subsidiary entities. A group practice operating in more
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This note was uploaded on 08/23/2011 for the course BUL 4602 taught by Professor Johnson during the Spring '11 term at W. Florida.

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BUL4602 Fall-2011 Lecture 5, Reading 3 - 411.352 42 CFR Ch....

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